Objective:Interpersonal brain synchronization(IBS)has emerged as a significant concept in understanding collaborative team dynamics,with functional near-infrared spectroscopy(fNIRS)proving to be a vital tool in its as...Objective:Interpersonal brain synchronization(IBS)has emerged as a significant concept in understanding collaborative team dynamics,with functional near-infrared spectroscopy(fNIRS)proving to be a vital tool in its assessment.This review aims to collate and analyze the literature on the application of fNIRS in various team settings,emphasizing its potential utility in surgical environments.Methods:A thorough search and screening process across multiple databases resulted in 17 studies being reviewed,with a focus on the utilization of fNIRS to measure IBS in different collaborative tasks.This review examined the tasks employed,participant demographics,organizational structures of teams,methodologies for IBS measurement,and correlations between brain synchronization and behavioral measurements.Results:fNIRS emerged as a non-invasive,cost-effective,and portable tool,predominantly used to assess IBS in pair-based tasks with a variety of participant demographics.Wavelet transform coherence was the primary method used for measuring synchronization,particularly in the prefrontal brain region.A consistent correlation was found between increased brain synchronization and enhanced team performance,underscoring the potential of fNIRS in understanding and optimizing team dynamics.Conclusion:This review establishes fNIRS as a promising tool for investigating the neural mechanisms underlying team cooperation,providing invaluable insights for potential applications in surgical settings.While acknowledging the limitations in the current literature,the review highlights the need for further research with larger sample sizes and varied task complexities to solidify the understanding of IBS and its impact on team performance.The ultimate goal is to leverage fNIRS in assessing and improving surgical team dynamics,contributing to improved patient outcomes and safety.展开更多
This article comments on the research by Zhang et al on the role of advanced heart failure and transplant teams in extracorporeal membrane oxygenation(ECMO)management.The study by Zhang et al indicates that direct adv...This article comments on the research by Zhang et al on the role of advanced heart failure and transplant teams in extracorporeal membrane oxygenation(ECMO)management.The study by Zhang et al indicates that direct advanced heart failure and transplant involvement improves survival in ECMO patients,especially those on veno-arterial ECMO.However,the optimal approach varies due to multiple factors.This article discusses the clinical implications,research design limitations,and future directions to enhance ECMO care.展开更多
Against the background of the in-depth reform of vocational education,the construction of“dual-qualification and dual-competence”teaching teams has become increasingly prominent as a core link to promote the in-dept...Against the background of the in-depth reform of vocational education,the construction of“dual-qualification and dual-competence”teaching teams has become increasingly prominent as a core link to promote the in-depth development of industry-education integration and improve the quality of technical and skilled talent training.Due to its strong practical characteristics,the nursing major has higher requirements for teachers’“dual-qualification and dual-competence”(systematic theoretical teaching ability and clinical practical operation ability).Taking the Innovation Team for Education and Teaching of Nursing Professional Group of Guangzhou Huanan Business College as the research object,this paper systematically analyzes the practical paths constructed by the team in the construction of“dual-qualification and dual-competence”,such as the“internal training and external introduction”teacher optimization mechanism,the“school-hospital collaboration”practical training platform,and the“quantitative+qualitative”evaluation system.It also deeply discusses the structural contradictions faced in the construction process and the breakthrough strategies.The purpose is to provide a referenceable and promotable practical model for the construction of teaching staff in higher vocational nursing majors and contribute to the high-quality development of vocational education.展开更多
Objective: To explore the effectiveness of applying an infusion project team in the safety risk management of indwelling needle use. Methods: A total of 200 patients who used intravenous indwelling needles during hosp...Objective: To explore the effectiveness of applying an infusion project team in the safety risk management of indwelling needle use. Methods: A total of 200 patients who used intravenous indwelling needles during hospital treatment from July to October 2022 were selected and randomly divided into an observation group and a control group, with 100 patients in each group. Patients in the control group received routine nursing methods, while those in the observation group were managed using the safety risk management method of the infusion project team. The tube blocking rate and tube removal rate were compared between the two groups. Results: The one-time puncture success rate and the standard implementation rate of intravenous indwelling needle use in the observation group were significantly higher than those in the control group. The total incidence of complications in the observation group was significantly lower than that in the control group, and patient satisfaction in the observation group was notably higher, with statistically significant differences (P < 0.05). Conclusion: The application of an infusion project team in the safety risk management of indwelling needle use is effective and has positive impacts on improving the one-time puncture success rate, the standard implementation rate of intravenous indwelling needle use, and patient satisfaction. It is a practice worth promoting in clinical settings.展开更多
Objective:To explore the experiences of palliative care multidisciplinary teams from the perspective of pluralistic synergy theory,aiming to enhance team collaboration.Method:Utilizing a qualitative research methodolo...Objective:To explore the experiences of palliative care multidisciplinary teams from the perspective of pluralistic synergy theory,aiming to enhance team collaboration.Method:Utilizing a qualitative research methodology,we conducted in-depth interviews with 15 palliative care team members to collect data.Results:The operational framework of palliative care multidisciplinary teams under pluralistic synergy theory involves:enhancing collaboration among team members;developing a comprehensive management model for the team;rationalizing the allocation of work tasks and durations;improving team communication and interaction through effective communication mechanisms and platforms;cultivating skilled professionals;and establishing a robust health record management system.Conclusion:The operational mechanism,informed by pluralistic synergy theory,advances the development of palliative care.展开更多
Under the background of training practical compound talents in software engineering,this paper analyzes the problems existing in the current teaching of software engineering courses represented by software project man...Under the background of training practical compound talents in software engineering,this paper analyzes the problems existing in the current teaching of software engineering courses represented by software project management,puts forward the team task mechanism of software engineering courses with AI empowerment and cooperation and competition,develops a unified project management platform to support the implementation of team tasks,and proves the effectiveness of the scheme through the results obtained.展开更多
This study examined the development of technician teams on large-scale instrument platforms in universities,using the State Key Laboratory of Natural and Biomimetic Drugs in the Peking University School of Pharmaceuti...This study examined the development of technician teams on large-scale instrument platforms in universities,using the State Key Laboratory of Natural and Biomimetic Drugs in the Peking University School of Pharmaceutical Sciences as a case study.Data were collected through questionnaire surveys and interviews conducted in 2017,followed by a questionnaire survey in 2023,offering both subjective and objective insights.The evolution of the platform’s technician team over the past 5 years was analyzed,highlighting key experiences and identifying ongoing challenges.Recommendations to enhance technician team development include recruiting skilled faculty,clearly defining job responsibilities,and refining the assessment and incentive systems.展开更多
Against the backdrop of the high-quality development of vocational education,the construction of“double-qualified”teacher teams has shifted from focusing on quantity growth to emphasizing the improvement of“double-...Against the backdrop of the high-quality development of vocational education,the construction of“double-qualified”teacher teams has shifted from focusing on quantity growth to emphasizing the improvement of“double-qualified”competencies.How to strengthen the quality-oriented construction of“double-qualified”teacher teams,give full play to the role of“double-qualified”teachers,promote the construction and teaching reform of tourism majors,and enhance the quality of tourism talent cultivation have become key issues faced by higher vocational tourism majors.Taking higher vocational tourism majors as an example,this paper analyzes the problems encountered in the construction of tourism-related“double-qualified”teacher teams,puts forward strategies for such construction,and explores the impact of building“double-qualified”teacher teams on the quality of talent cultivation in tourism majors.It aims to provide references for the coordinated improvement of the construction of“double-qualified”teacher teams and the quality of talent cultivation in higher vocational tourism majors.展开更多
This study tested a multilevel model of the workplace territorial behaviors and employees’knowledge sharing relationship,with team identification serving as a mediator and task interdependence as a moderator.Data wer...This study tested a multilevel model of the workplace territorial behaviors and employees’knowledge sharing relationship,with team identification serving as a mediator and task interdependence as a moderator.Data were collected from 253 employees(females=128,mean age=28.626,SD=6.470)from 40 work teams from different industries in China.Path analysis results indicated that workplace territorial behaviors were associated with lower employee knowledge sharing.Team identification enhanced employee knowledge sharing and partially mediated the relationship between workplace territorial behaviors and employee knowledge sharing.Task interdependence enhanced knowledge sharing and strengthened the relationship between team identification and knowledge sharing.Thesefindings extend the proposition of social information processing theory by revealing the mediating role of team identification in the relationship between workplace territorial behaviors and knowledge sharing,and clarifying the boundary conditions of team identification.Practical implications of thesefindings include a need for managers to foster collaborative atmospheres,design interdependent tasks,and mitigate territorial behaviors to enhance team identification and knowledge sharing.展开更多
While the digital transformation brings new development opportunities to the field of vocational education,it also makes it face unprecedented challenges.In order to adapt to the trend of digital transformation,vocati...While the digital transformation brings new development opportunities to the field of vocational education,it also makes it face unprecedented challenges.In order to adapt to the trend of digital transformation,vocational undergraduate colleges need to improve their school-running level and promote educational reform by building“dual-qualified”teacher teams.Based on this,the author first analyzes the construction requirements of“dual-qualified”teacher teams and the common problems in specific operations,such as the weak practical teaching ability of full-time teachers,the imperfect teacher growth mechanism,and the insufficient in-depth school-enterprise cooperation.Then,aiming at the actual problems,it discusses the advantages and practical paths of building“dual-qualified”teacher teams in vocational undergraduate education empowered by digital technology,aiming to provide suggestions for the high-quality development of vocational education.展开更多
Objectives:In this study,we examined the psychological impact of hierarchical and authoritarian structures in elite sports teams in South Korea on the ego formation and mental health of athletes.We aimed to analyze ho...Objectives:In this study,we examined the psychological impact of hierarchical and authoritarian structures in elite sports teams in South Korea on the ego formation and mental health of athletes.We aimed to analyze how these environments shape psychological well-being in athletes,drawing on Freud’s group psychology theory,while integrating perspectives from the Self-DeterminationTheory(SDT)and Social Identity Theory(SIT).Methods:We applied a qualitative case-study approach,with data collected through in-depth interviews with eight retired elite table tennis players from South Korea.These athletes shared their experiences with psychological mechanisms in their teams and how those mechanisms impacted their mental health throughout their careers.We analyzed the collected data using thematic analysis.Results:The investigated psychological mechanisms significantly influenced the ego development and psychological well-being in athletes.In hierarchical and authoritarian environments,identification and ego idealization suppressed the autonomy of the athletes.Hierarchical order and obedience to authority figures exert significant pressure on athletes to conform,impeding the development of an independent ego.Furthermore,group pressure exacerbates ego erosion and psychological stress,while corporal punishment reinforces psychological pressure and hinders ego integrity.The integration of the SDT highlights the need for autonomy-supportive environments to mitigate such risks,while the SIT emphasizes balancing individual identity with group cohesion to address identity conflicts and psychological tension.Conclusion:Hierarchical structures and authoritarian dynamics in South Korean elite sports teams critically suppress autonomy in athletes,leading to psychological distress and identity conflicts.This study highlights the urgent need for systemic interventions to reform coaching practices and foster autonomysupportive environments.These results contribute to the global discourse on the mental health of athletes in elite sports and offer actionable strategies for improving long-term well-being.Finally,this study provides practical recommendations adaptable to diverse cultural and sporting contexts,enhancing athlete mental health worldwide.展开更多
We introduced a 61-year-old male with ductal adenocarcinoma of the prostate who underwent a tortuous diagnosis and treatment.Multi-disciplinary team meetings organized by our hospital have shown great value in the who...We introduced a 61-year-old male with ductal adenocarcinoma of the prostate who underwent a tortuous diagnosis and treatment.Multi-disciplinary team meetings organized by our hospital have shown great value in the whole process.The patient presented with gross hematuria accompanied by frequent urination initially,and was diagnosed with ductal adenocarcinoma of the prostate involving right seminal vesicle gland and urethra by urethroscopy biopsy.The clinical stage of tumor was T3bN0M0.After 4 cycles of neoadjuvant chemotherapy,the tumor shrank significantly and the patient underwent a laparoscopic radical prostatectomy.But the patient declined to continue chemotherapy postoperatively.After 10 months,the serum prostatic specific antigen increased to 0.05 ng/mL,and multiple metastases were found in the patient's bilateral lungs.However,an unexpected diagnosis of seminal vesicle adenocarcinoma was put forward from another hospital after supplementary pathologic immunohistochemical examination.Then,after careful discussion and demonstration by our multi-disciplinary team experts,we insisted on the diagnosis of ductal adenocarcinoma of the prostate and suggested that the original regimen of chemotherapy should be continued.Up-to-date,14 months after the operation,the patient continues to survive while undergoing ongoing active treatment as recommended.展开更多
BACKGROUND Severe pneumonia is a common severe respiratory infection worldwide,and its treatment is challenging,especially for patients in the intensive care unit(ICU).AIM To explore the effect of communication and co...BACKGROUND Severe pneumonia is a common severe respiratory infection worldwide,and its treatment is challenging,especially for patients in the intensive care unit(ICU).AIM To explore the effect of communication and collaboration between nursing teams on the treatment outcomes of patients with severe pneumonia in ICU.METHODS We retrospectively analyzed 60 patients with severe pneumonia who were treated at the ICU of the hospital between January 1,2021 and December 31,2023.We compared and analyzed the respiratory mechanical indexes[airway resistance(Raw),mean airway pressure(mPaw),peak pressure(PIP)],blood gas analysis indexes(arterial oxygen saturation,arterial oxygen partial pressure,and oxygenation index),and serum inflammatory factor levels[C-reactive protein(CRP),procalcitonin(PCT),cortisol(COR),and high mobility group protein B1(HMGB1)]of all patients before and after treatment.RESULTS Before treatment,there was no significant difference in respiratory mechanics index and blood gas analysis index between 2 groups(P>0.05).However,after treatment,the respiratory mechanical indexes of patients in both groups were significantly improved,and the improvement of Raw,mPaw,plateau pressure,PIP and other indexes in the combined group after communication and collaboration with the nursing team was significantly better than that in the single care group(P<0.05).The serum CRP and PCT levels of patients were significantly decreased,and the difference was statistically significant compared with that of nursing group alone(P<0.05).The levels of serum COR and HMGB1 before and after treatment were also significantly decreased between the two groups.CONCLUSION The communication and collaboration of the nursing team have a significant positive impact on respiratory mechanics indicators,blood gas analysis indicators and serum inflammatory factor levels in the treatment of severe pneumonia patients in ICU.展开更多
BACKGROUND Arthroscopic rotator cuff repair is a common surgical treatment for rotator cuff injuries(RCIs).Although this procedure has certain clinical advantages,it requires rehabilitation management interventions to...BACKGROUND Arthroscopic rotator cuff repair is a common surgical treatment for rotator cuff injuries(RCIs).Although this procedure has certain clinical advantages,it requires rehabilitation management interventions to ensure therapeutic efficacy.AIM To investigate the effect of integrated traditional Chinese medicine and Western medicine(TCM-WM)under the multidisciplinary team(MDT)model on the postoperative recovery of patients undergoing arthroscopic surgery for RCIs.METHODS This study enrolled 100 patients who underwent arthroscopic rotator cuff repair for RCIs at the Seventh People’s Hospital of Shanghai University of Traditional Chinese Medicine between June 2021 and May 2024.They were divided into a control group(n=48)that received routine rehabilitation treatment and an experimental group(n=52)that received TCM-WM under the MDT model(e.g.,acupuncture,TCM traumatology and orthopedics,and rehabilitation).The results of the Constant–Murley Shoulder Score(CMS),Visual Analogue Scale(VAS),Shoulder Pain and Disability Index(SPADI),muscular strength evaluation,and shoulder range of motion(ROM)assessments were analyzed.RESULTS After treatment,the experimental group showed significantly higher CMS scores in terms of pain,functional activity,shoulder joint mobility,and muscular strength than the baseline and those of the control group.The experimental group also exhibited significantly lower VAS and SPADI scores than the baseline and those of the control group.In addition,the experimental group showed significantly enhanced muscular strength(forward flexor and external and internal rotator muscles)and shoulder ROM(forward flexion,abduction,and lateral abduction)after treatment compared with the control group.CONCLUSION TCM-WM under the MDT model improved shoulder joint function,relieved postoperative pain,promoted postoperative functional recovery,and facilitated the recovery of muscular strength and shoulder ROM in patients with RCIs who underwent arthroscopic rotator cuff repair.展开更多
The multi-disciplinary data and information available at a community level comprise the foundation of natural hazard resilience modeling.These data enable and inform mitigation and recovery planning decisions prior to...The multi-disciplinary data and information available at a community level comprise the foundation of natural hazard resilience modeling.These data enable and inform mitigation and recovery planning decisions prior to and following damaging events such as earthquakes.This paper presents a multi-disciplinary seismic resilience mod-eling methodology to assess the vulnerability of the built environment and economic systems.This methodology can assist decision-makers with developing effective mitigation policies to improve the seismic resilience of com-munities.Two complementary modeling strategies are designed to examine the impacts of scenario earthquakes from a combined engineering and economic perspective.The engineering model is developed using a probabilis-tic fragility-based modeling approach and is analyzed using Monte Carlo(MC)simulations subject to seismic multi-hazard,including simulated ground shaking and resulting liquefaction of the soil,to quantify the physical damage to buildings and electric power substations(EPS).The outcome of the analysis is subsequently used as input to repair and recovery models to quantify repair cost and recovery time metrics for buildings and as input to functionality models to estimate the functionality of individual buildings and substations by accounting for their interdependency.The economic model consists of a spatial computable general equilibrium(SCGE)model that aggregates commercial buildings into sectors for retail,manufacturing,services,etc.,and aggregates residential buildings into a wide range of household groups.The SCGE model employs building functionality estimates to quantify the economic losses.The outcomes of this integrated modeling consist of engineering and economic impact metrics,which are used to investigate mitigation actions to help inform a community on approaches to achieve its resilience goals.An illustrative case study of Salt Lake County(SLC),Utah,developed through an extensive collaborative partnership and engagement with SLC officials,is presented.The results demonstrate the effectiveness of the proposed methodology in quantifying the loss and functional recovery of infrastructure systems,the impacts on capital stock,employment,and household income and the effect of various mitigation strategies in reducing the losses and functional recovery time subject to earthquakes with varying intensities.展开更多
文摘Objective:Interpersonal brain synchronization(IBS)has emerged as a significant concept in understanding collaborative team dynamics,with functional near-infrared spectroscopy(fNIRS)proving to be a vital tool in its assessment.This review aims to collate and analyze the literature on the application of fNIRS in various team settings,emphasizing its potential utility in surgical environments.Methods:A thorough search and screening process across multiple databases resulted in 17 studies being reviewed,with a focus on the utilization of fNIRS to measure IBS in different collaborative tasks.This review examined the tasks employed,participant demographics,organizational structures of teams,methodologies for IBS measurement,and correlations between brain synchronization and behavioral measurements.Results:fNIRS emerged as a non-invasive,cost-effective,and portable tool,predominantly used to assess IBS in pair-based tasks with a variety of participant demographics.Wavelet transform coherence was the primary method used for measuring synchronization,particularly in the prefrontal brain region.A consistent correlation was found between increased brain synchronization and enhanced team performance,underscoring the potential of fNIRS in understanding and optimizing team dynamics.Conclusion:This review establishes fNIRS as a promising tool for investigating the neural mechanisms underlying team cooperation,providing invaluable insights for potential applications in surgical settings.While acknowledging the limitations in the current literature,the review highlights the need for further research with larger sample sizes and varied task complexities to solidify the understanding of IBS and its impact on team performance.The ultimate goal is to leverage fNIRS in assessing and improving surgical team dynamics,contributing to improved patient outcomes and safety.
基金Supported by National Natural Science Foundation of China,No.82200353Jiangsu Province Double Innovation Doctoral Program,No.JSSCBS20221948+3 种基金Suzhou Gusu Health Talent Program,No.(2022)043Suzhou Gusu Health Talent Plan Talent Research Project,No.GSWS2022014Jiangsu Province College Students’Innovation and Entrepreneurship Training Program Project,No.202410285087Zand“Boxi”Talent Casting Plan of the First Affiliated Hospital of Soochow University。
文摘This article comments on the research by Zhang et al on the role of advanced heart failure and transplant teams in extracorporeal membrane oxygenation(ECMO)management.The study by Zhang et al indicates that direct advanced heart failure and transplant involvement improves survival in ECMO patients,especially those on veno-arterial ECMO.However,the optimal approach varies due to multiple factors.This article discusses the clinical implications,research design limitations,and future directions to enhance ECMO care.
基金Guangzhou Huanan Business College,Innovation Team for Education and Teaching of Nursing Professional Group(Project No.:2022HMZLGC09)。
文摘Against the background of the in-depth reform of vocational education,the construction of“dual-qualification and dual-competence”teaching teams has become increasingly prominent as a core link to promote the in-depth development of industry-education integration and improve the quality of technical and skilled talent training.Due to its strong practical characteristics,the nursing major has higher requirements for teachers’“dual-qualification and dual-competence”(systematic theoretical teaching ability and clinical practical operation ability).Taking the Innovation Team for Education and Teaching of Nursing Professional Group of Guangzhou Huanan Business College as the research object,this paper systematically analyzes the practical paths constructed by the team in the construction of“dual-qualification and dual-competence”,such as the“internal training and external introduction”teacher optimization mechanism,the“school-hospital collaboration”practical training platform,and the“quantitative+qualitative”evaluation system.It also deeply discusses the structural contradictions faced in the construction process and the breakthrough strategies.The purpose is to provide a referenceable and promotable practical model for the construction of teaching staff in higher vocational nursing majors and contribute to the high-quality development of vocational education.
文摘Objective: To explore the effectiveness of applying an infusion project team in the safety risk management of indwelling needle use. Methods: A total of 200 patients who used intravenous indwelling needles during hospital treatment from July to October 2022 were selected and randomly divided into an observation group and a control group, with 100 patients in each group. Patients in the control group received routine nursing methods, while those in the observation group were managed using the safety risk management method of the infusion project team. The tube blocking rate and tube removal rate were compared between the two groups. Results: The one-time puncture success rate and the standard implementation rate of intravenous indwelling needle use in the observation group were significantly higher than those in the control group. The total incidence of complications in the observation group was significantly lower than that in the control group, and patient satisfaction in the observation group was notably higher, with statistically significant differences (P < 0.05). Conclusion: The application of an infusion project team in the safety risk management of indwelling needle use is effective and has positive impacts on improving the one-time puncture success rate, the standard implementation rate of intravenous indwelling needle use, and patient satisfaction. It is a practice worth promoting in clinical settings.
文摘Objective:To explore the experiences of palliative care multidisciplinary teams from the perspective of pluralistic synergy theory,aiming to enhance team collaboration.Method:Utilizing a qualitative research methodology,we conducted in-depth interviews with 15 palliative care team members to collect data.Results:The operational framework of palliative care multidisciplinary teams under pluralistic synergy theory involves:enhancing collaboration among team members;developing a comprehensive management model for the team;rationalizing the allocation of work tasks and durations;improving team communication and interaction through effective communication mechanisms and platforms;cultivating skilled professionals;and establishing a robust health record management system.Conclusion:The operational mechanism,informed by pluralistic synergy theory,advances the development of palliative care.
文摘Under the background of training practical compound talents in software engineering,this paper analyzes the problems existing in the current teaching of software engineering courses represented by software project management,puts forward the team task mechanism of software engineering courses with AI empowerment and cooperation and competition,develops a unified project management platform to support the implementation of team tasks,and proves the effectiveness of the scheme through the results obtained.
文摘This study examined the development of technician teams on large-scale instrument platforms in universities,using the State Key Laboratory of Natural and Biomimetic Drugs in the Peking University School of Pharmaceutical Sciences as a case study.Data were collected through questionnaire surveys and interviews conducted in 2017,followed by a questionnaire survey in 2023,offering both subjective and objective insights.The evolution of the platform’s technician team over the past 5 years was analyzed,highlighting key experiences and identifying ongoing challenges.Recommendations to enhance technician team development include recruiting skilled faculty,clearly defining job responsibilities,and refining the assessment and incentive systems.
文摘Against the backdrop of the high-quality development of vocational education,the construction of“double-qualified”teacher teams has shifted from focusing on quantity growth to emphasizing the improvement of“double-qualified”competencies.How to strengthen the quality-oriented construction of“double-qualified”teacher teams,give full play to the role of“double-qualified”teachers,promote the construction and teaching reform of tourism majors,and enhance the quality of tourism talent cultivation have become key issues faced by higher vocational tourism majors.Taking higher vocational tourism majors as an example,this paper analyzes the problems encountered in the construction of tourism-related“double-qualified”teacher teams,puts forward strategies for such construction,and explores the impact of building“double-qualified”teacher teams on the quality of talent cultivation in tourism majors.It aims to provide references for the coordinated improvement of the construction of“double-qualified”teacher teams and the quality of talent cultivation in higher vocational tourism majors.
文摘This study tested a multilevel model of the workplace territorial behaviors and employees’knowledge sharing relationship,with team identification serving as a mediator and task interdependence as a moderator.Data were collected from 253 employees(females=128,mean age=28.626,SD=6.470)from 40 work teams from different industries in China.Path analysis results indicated that workplace territorial behaviors were associated with lower employee knowledge sharing.Team identification enhanced employee knowledge sharing and partially mediated the relationship between workplace territorial behaviors and employee knowledge sharing.Task interdependence enhanced knowledge sharing and strengthened the relationship between team identification and knowledge sharing.Thesefindings extend the proposition of social information processing theory by revealing the mediating role of team identification in the relationship between workplace territorial behaviors and knowledge sharing,and clarifying the boundary conditions of team identification.Practical implications of thesefindings include a need for managers to foster collaborative atmospheres,design interdependent tasks,and mitigate territorial behaviors to enhance team identification and knowledge sharing.
基金The 2024 Guizhou Provincial Education Science Planning Project,“Research on the Path and Mechanism of Technology Achievement Transformation in Teaching Achievement from the Perspective of Vocational Education Science and Education Integration”(Project No.:2024B087)The 2025 Planning Project of China Vocational Education Association,“Research on the Construction and Practice Path of Multidimensional Evaluation System for Teachers in Guizhou Vocational Colleges Based on Job Competency Model”(Project No.:ZJS2025ZD92)。
文摘While the digital transformation brings new development opportunities to the field of vocational education,it also makes it face unprecedented challenges.In order to adapt to the trend of digital transformation,vocational undergraduate colleges need to improve their school-running level and promote educational reform by building“dual-qualified”teacher teams.Based on this,the author first analyzes the construction requirements of“dual-qualified”teacher teams and the common problems in specific operations,such as the weak practical teaching ability of full-time teachers,the imperfect teacher growth mechanism,and the insufficient in-depth school-enterprise cooperation.Then,aiming at the actual problems,it discusses the advantages and practical paths of building“dual-qualified”teacher teams in vocational undergraduate education empowered by digital technology,aiming to provide suggestions for the high-quality development of vocational education.
文摘Objectives:In this study,we examined the psychological impact of hierarchical and authoritarian structures in elite sports teams in South Korea on the ego formation and mental health of athletes.We aimed to analyze how these environments shape psychological well-being in athletes,drawing on Freud’s group psychology theory,while integrating perspectives from the Self-DeterminationTheory(SDT)and Social Identity Theory(SIT).Methods:We applied a qualitative case-study approach,with data collected through in-depth interviews with eight retired elite table tennis players from South Korea.These athletes shared their experiences with psychological mechanisms in their teams and how those mechanisms impacted their mental health throughout their careers.We analyzed the collected data using thematic analysis.Results:The investigated psychological mechanisms significantly influenced the ego development and psychological well-being in athletes.In hierarchical and authoritarian environments,identification and ego idealization suppressed the autonomy of the athletes.Hierarchical order and obedience to authority figures exert significant pressure on athletes to conform,impeding the development of an independent ego.Furthermore,group pressure exacerbates ego erosion and psychological stress,while corporal punishment reinforces psychological pressure and hinders ego integrity.The integration of the SDT highlights the need for autonomy-supportive environments to mitigate such risks,while the SIT emphasizes balancing individual identity with group cohesion to address identity conflicts and psychological tension.Conclusion:Hierarchical structures and authoritarian dynamics in South Korean elite sports teams critically suppress autonomy in athletes,leading to psychological distress and identity conflicts.This study highlights the urgent need for systemic interventions to reform coaching practices and foster autonomysupportive environments.These results contribute to the global discourse on the mental health of athletes in elite sports and offer actionable strategies for improving long-term well-being.Finally,this study provides practical recommendations adaptable to diverse cultural and sporting contexts,enhancing athlete mental health worldwide.
文摘We introduced a 61-year-old male with ductal adenocarcinoma of the prostate who underwent a tortuous diagnosis and treatment.Multi-disciplinary team meetings organized by our hospital have shown great value in the whole process.The patient presented with gross hematuria accompanied by frequent urination initially,and was diagnosed with ductal adenocarcinoma of the prostate involving right seminal vesicle gland and urethra by urethroscopy biopsy.The clinical stage of tumor was T3bN0M0.After 4 cycles of neoadjuvant chemotherapy,the tumor shrank significantly and the patient underwent a laparoscopic radical prostatectomy.But the patient declined to continue chemotherapy postoperatively.After 10 months,the serum prostatic specific antigen increased to 0.05 ng/mL,and multiple metastases were found in the patient's bilateral lungs.However,an unexpected diagnosis of seminal vesicle adenocarcinoma was put forward from another hospital after supplementary pathologic immunohistochemical examination.Then,after careful discussion and demonstration by our multi-disciplinary team experts,we insisted on the diagnosis of ductal adenocarcinoma of the prostate and suggested that the original regimen of chemotherapy should be continued.Up-to-date,14 months after the operation,the patient continues to survive while undergoing ongoing active treatment as recommended.
文摘BACKGROUND Severe pneumonia is a common severe respiratory infection worldwide,and its treatment is challenging,especially for patients in the intensive care unit(ICU).AIM To explore the effect of communication and collaboration between nursing teams on the treatment outcomes of patients with severe pneumonia in ICU.METHODS We retrospectively analyzed 60 patients with severe pneumonia who were treated at the ICU of the hospital between January 1,2021 and December 31,2023.We compared and analyzed the respiratory mechanical indexes[airway resistance(Raw),mean airway pressure(mPaw),peak pressure(PIP)],blood gas analysis indexes(arterial oxygen saturation,arterial oxygen partial pressure,and oxygenation index),and serum inflammatory factor levels[C-reactive protein(CRP),procalcitonin(PCT),cortisol(COR),and high mobility group protein B1(HMGB1)]of all patients before and after treatment.RESULTS Before treatment,there was no significant difference in respiratory mechanics index and blood gas analysis index between 2 groups(P>0.05).However,after treatment,the respiratory mechanical indexes of patients in both groups were significantly improved,and the improvement of Raw,mPaw,plateau pressure,PIP and other indexes in the combined group after communication and collaboration with the nursing team was significantly better than that in the single care group(P<0.05).The serum CRP and PCT levels of patients were significantly decreased,and the difference was statistically significant compared with that of nursing group alone(P<0.05).The levels of serum COR and HMGB1 before and after treatment were also significantly decreased between the two groups.CONCLUSION The communication and collaboration of the nursing team have a significant positive impact on respiratory mechanics indicators,blood gas analysis indicators and serum inflammatory factor levels in the treatment of severe pneumonia patients in ICU.
基金General Project of Health and Family Planning Scientific Research of Pudong New Area Health Commission:Evaluation of the Clinical Effectiveness of the Integrated Traditional Chinese and Western Medicine Clinical Program for Accelerating Postoperative Recovery of Patients with Rotator cuff Injury under the Multidisciplinary Team Mode,No.PW2021A-66Shanghai Municipal Health Commission Key Department of Integrated Traditional Chinese and Western MedicinePeak Discipline of Traditional Chinese Medicine(Orthopedics and Traumatology Department of Integrated Traditional Chinese and Western Medicine),Shanghai Pudong New Area Health Commission,No.YC-2023-0601.
文摘BACKGROUND Arthroscopic rotator cuff repair is a common surgical treatment for rotator cuff injuries(RCIs).Although this procedure has certain clinical advantages,it requires rehabilitation management interventions to ensure therapeutic efficacy.AIM To investigate the effect of integrated traditional Chinese medicine and Western medicine(TCM-WM)under the multidisciplinary team(MDT)model on the postoperative recovery of patients undergoing arthroscopic surgery for RCIs.METHODS This study enrolled 100 patients who underwent arthroscopic rotator cuff repair for RCIs at the Seventh People’s Hospital of Shanghai University of Traditional Chinese Medicine between June 2021 and May 2024.They were divided into a control group(n=48)that received routine rehabilitation treatment and an experimental group(n=52)that received TCM-WM under the MDT model(e.g.,acupuncture,TCM traumatology and orthopedics,and rehabilitation).The results of the Constant–Murley Shoulder Score(CMS),Visual Analogue Scale(VAS),Shoulder Pain and Disability Index(SPADI),muscular strength evaluation,and shoulder range of motion(ROM)assessments were analyzed.RESULTS After treatment,the experimental group showed significantly higher CMS scores in terms of pain,functional activity,shoulder joint mobility,and muscular strength than the baseline and those of the control group.The experimental group also exhibited significantly lower VAS and SPADI scores than the baseline and those of the control group.In addition,the experimental group showed significantly enhanced muscular strength(forward flexor and external and internal rotator muscles)and shoulder ROM(forward flexion,abduction,and lateral abduction)after treatment compared with the control group.CONCLUSION TCM-WM under the MDT model improved shoulder joint function,relieved postoperative pain,promoted postoperative functional recovery,and facilitated the recovery of muscular strength and shoulder ROM in patients with RCIs who underwent arthroscopic rotator cuff repair.
基金funded through a cooperative agreement between the U.S.National Institute of Standards and Technology and Colorado State University(NIST Financial Assistance Award Numbers:70NANB15H044 and 70NANB20H008).
文摘The multi-disciplinary data and information available at a community level comprise the foundation of natural hazard resilience modeling.These data enable and inform mitigation and recovery planning decisions prior to and following damaging events such as earthquakes.This paper presents a multi-disciplinary seismic resilience mod-eling methodology to assess the vulnerability of the built environment and economic systems.This methodology can assist decision-makers with developing effective mitigation policies to improve the seismic resilience of com-munities.Two complementary modeling strategies are designed to examine the impacts of scenario earthquakes from a combined engineering and economic perspective.The engineering model is developed using a probabilis-tic fragility-based modeling approach and is analyzed using Monte Carlo(MC)simulations subject to seismic multi-hazard,including simulated ground shaking and resulting liquefaction of the soil,to quantify the physical damage to buildings and electric power substations(EPS).The outcome of the analysis is subsequently used as input to repair and recovery models to quantify repair cost and recovery time metrics for buildings and as input to functionality models to estimate the functionality of individual buildings and substations by accounting for their interdependency.The economic model consists of a spatial computable general equilibrium(SCGE)model that aggregates commercial buildings into sectors for retail,manufacturing,services,etc.,and aggregates residential buildings into a wide range of household groups.The SCGE model employs building functionality estimates to quantify the economic losses.The outcomes of this integrated modeling consist of engineering and economic impact metrics,which are used to investigate mitigation actions to help inform a community on approaches to achieve its resilience goals.An illustrative case study of Salt Lake County(SLC),Utah,developed through an extensive collaborative partnership and engagement with SLC officials,is presented.The results demonstrate the effectiveness of the proposed methodology in quantifying the loss and functional recovery of infrastructure systems,the impacts on capital stock,employment,and household income and the effect of various mitigation strategies in reducing the losses and functional recovery time subject to earthquakes with varying intensities.